Jesse Ennis, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: December 10, 2014

Quick Facts

NPI Number
1063810844
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(907) 235-7000
StateAK

NPI Validation Status: Verified

Valid 10-digit NPI number (1063810844)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 10, 2014)
Data source: CMS NPPES

Provider Overview

JESSE ENNIS, PA-C is a Physician Assistant provider based in Homer, AK who has been registered with CMS since 2014. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063810844
Provider TypeIndividual Provider
GenderMale
CredentialPA-C
StatusActive
Enumeration DateDecember 10, 2014

Practice Location

CityHomer
StateAK
ZIP Code99603-7015
Phone(907) 235-7000

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateAK

Mailing Address

CityHomer
StateAK
ZIP Code99603-7015
Phone(907) 235-7000
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063810844 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063810844for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063810844 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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158,607
Physician Assistant Providers in the US

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Ann Anderson, PA

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People Also Ask

What is Jesse Ennis's NPI number?
Jesse Ennis's NPI number is 1063810844, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jesse Ennis's NPI currently active?
Yes, Jesse Ennis's NPI status is Active as of the latest CMS NPPES database updates.
What does Jesse Ennis specialize in?
Jesse Ennis specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Jesse Ennis practice?
Jesse Ennis practices in Homer, AK 99603-7015.
When was Jesse Ennis's NPI issued?
Jesse Ennis's NPI was issued on December 10, 2014.
What is Jesse Ennis's provider type?
Jesse Ennis is registered as an Individual Provider under CMS NPI Type 1.